Medi-Cal Claims Specialist

Location
US-CA-Anaheim

Job ID

2018-3227

Category

Eligibility

About The Company

MedData, a MEDNAX (NYSE: MD) company, is a technology-enabled services organization that improves financial outcomes for hospitals by enhancing the patient experience and expanding their access to healthcare. The MedData managed services program includes a range of patient access and communications, revenue cycle management, and consulting and analytics solutions for healthcare systems, including billing, coding, patient balances, eligibility and enrollment, third party liability, and mobile apps.

At MedData, we take great pride in our company, in each other, and in our 30+ year history of accomplishments and success. This pride is reflected in our everyday approach to working together. Each team member understands the importance of being part of a company that values their individual contributions and strives to help them achieve their personal goals as they work together to achieve the broader corporate goals. We believe that every team member contributes directly to MedData’s growth and success, and we are constantly searching for new talented, passionate and enthusiastic people who will take pride in being an integral part of our culture.

Job Description

MedData has an excellent career opportunity available as a Medi-Cal Claims Specialist to work in an office setting located in Anaheim, CA. The schedule for this full time role is Monday- Friday 8am-4:30pm.

POSITION OVERVIEW:

The purpose of this position is to prepare and submit inpatient and outpatient claims to Medi-Cal (California Medicaid) and to follow-up these claims until payment is received and/or accounts are resolved.

ESSENTIAL JOB FUNCTIONS:

Process claims unbilled reports in the hospital systems and upload to Cardon’s system all accounts that require claim submission;

Verify eligibility, aid code/member benefits, and TAR requirements of each claim to be submitted;

Closely communicate and coordinate with the client hospitals with respect to their Medi-Cal claims;

Respond to other tasks assigned by the department manager.

QUALIFICATIONS:

High school graduate, preferably with 2 years college.

At least 1 year experience with hospital (UB04) Medi-Cal billing and collections.

Read, speak, write and understand the English language fluently

Keyboarding skills, at least 35 wpm

Working knowledge of Outlook, Word, and Excel

Dependable and highly detailed individual

Willingness to learn new systems and functions

High commitment to customer service to our internal and external clients.

Possess a high level of integrity – must show good judgment and confidentiality at all times

Must occasionally lift and/or move up to 20 pounds

PHYSICAL REQUIREMENTS:

While performing the responsibilities of the job, the employee is required to talk and hear. The employee is often required to sit and use their hands and fingers, to handle or feel. The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl. Vision abilities required by this job include close vision.

This job description is to serve as a guide but no way is it to be considered a comprehensive list of task, duties and responsibilities that will be required by the employee.

To join our team of 2,000 employees and growing, please apply directly to this posting. IND123